1.2 Therapeutic Equivalence

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If you’ve already started studying for your technician exam, and chances are you are well aware of the generic and name-brand equivalents between medications

According to the United States Food and Drug Administration (FDA), therapeutic equivalence refers to 2 medications that have the same clinical effect and safety profile as specified in labeling

Clinical effect refers to the health outcome of a patient’s health following a treatment

Safety profile refers to the characteristics identified about a medication to determine its safety

For two medications to have the same clinical effect, two things must be considered: bioequivalence and pharmaceutical equivalence

The FDA defines bioequivalence in medications as equivalent in the rate at which the active ingredient is available at the drug action site(s).

For two medications to have pharmaceutical equivalence, they must have the same active ingredient, dose, strength/concentration, and route of administration

As defined on the FDA website, they can differ in a limited number of ways…

  • color and flavor
  • labeling (to an extent)
  • scoring on the medication
  • shape
  • mechanism of release

Generic versions of name-brand medications are considered therapeutic equivalents. This is where knowing the generic to name-brand conversion comes in handy

So for instance, on your exam, you may see a question phrased like this…

What is the therapeutic equivalent of Synthroid?

Answer: Levothyroxine

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